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deletion of UCP3 (22). Attempts to trigger a phenotype by
exposing the UCP3-ko mice to a series of conditions pre-
viously related to induction of uncoupling proteins (high-fat
feeding, cold exposure, stimulation with thyroid hormone)
did not result in differences between the UCP3-ko and their
wild-type littermates (22,23), which was anticipated given
the previous findings in mice overexpressing UCP3 (15).
Interestingly however, Vidal-Puig et al. reported increased
production of the superoxide anion in vitro and augmented
mitochondrial aconitase production, indicating in vivo pro-
duction of reactive oxygen species (ROS) in the UCP3-ko
mice (23). These findings led the authors to suggest that one
of the functions of UCP3 could be the prevention of exces-
sive oxidative stress by lowering the mitochondrial mem-
brane potential, thus lowering the probability for electrons
to interact with oxygen (23).
In line with a role of UCP3 in prevention of oxidative
stress, Echtay et al. suggested that for uncoupling proteins
to induce uncoupling, both superoxides and coenzymeQ are
obligatory factors (18). Indeed, it was shown that exogenous
superoxide induced uncoupling in skeletal muscle mito-
chondria only in the presence of coenzymeQ, showing a
2-fold increase in uncoupling if UCP3 levels were doubled
by fasting and a lack of effect of superoxide in mitochondria
isolated from UCP3-ko mice (18). The increased uncou-
pling was inhibited by purine nucleotides, and the activation
of uncoupling by superoxide was abolished if 0.3% bovine
serum albumin was added to the medium and was restored
by adding palmitic acid in the micromolar range (300
mol), indicating a role for free fatty acids (FFAs) in the
activation of UCP3 (18). Although these studies clearly
indicate that UCP3 can be involved in regulation of oxida-
tive stress, one should keep in mind that the findings re-
ported are derived from isolated mitochondria exposed to
high levels of exogenous superoxide, which complicates
extrapolation of these findings to intact humans. With re-
spect to this, it is of relevance to note that the obligatory role
of coenzymeQ in inducing uncoupling has recently been
under debate; it was shown that after reconstitution of
UCP1, 2, and 3 in liposomes, the fatty acid catalyzed proton
flux in these liposomes was unaffected by the presence of
coenzymeQ (24). Rather, it was shown that the previously
observed relevance of coenzymeQ in uncoupling was com-
pletely accounted for by the effect of its solvent dichlo-
romethane (24).
In addition to in vitro measurements, an elegant, nonin-
vasive in vivo
31
P-labeled nuclear magnetic resonance (
31
P-
NMR) approach has been used to assess mitochondrial
coupling in UCP3-ko mice. This approach revealed that the
unidirectional rates of ATP synthesis were increased in
UCP3-ko mice, whereas tricarboxylic acid (TCA) cycle flux
remained unaltered (25). These findings were interpreted as
evidence for uncoupling activity by UCP3 in vivo (25). It
should be recognized, however, that increased ATP synthe-
sis rate without alterations in TCA cycle flux is difficult to
interpret, and simply interpreting it as increased coupling
seems premature.
Mitochondrial Uncoupling in Physiological Conditions
Affecting UCP3
In Pima Indians, sleeping metabolic rate is a very strong
predictor of weight gain (26), and it was in this population
that we reported significant correlations of UCP3 mRNA
with both BMI (negative) and resting metabolic rate (posi-
tive) (27), suggesting that skeletal muscle UCP3 content is
related to energy expenditure. In this context, it was already
recognized that hyperthyroidism, characterized by increased
energy expenditure, was associated with increased proton
leak in liver mitochondria, whereas the opposite was ob-
served in hypothyroidism (28). Interestingly, hypothyroid
rats had only 32% of the UCP3 mRNA levels found in
controls. Treatment of hypothyroid, but also euthyroid, rats
with thyroid hormone induced a 4.7- and 6.2-fold increase
in skeletal muscle UCP3 mRNA (8). These findings were
extended with assessments of mitochondrial respiration
rates in the transition from the hypothyroid to the euthyroid
state, showing that state 3 and state 4 respiration rates were
ranked hierarchically from hypothyroid
euthyroid
hy-
perthyroid (29), suggesting that UCP3 is involved in medi-
ating the proton leak observed in hyperthyroidism. More
compelling data for a role of UCP3 in thyroid hormone-
induced increases in energy expenditure are presented by de
Lange et al. (30), showing that after a single dose injection
of thyroid hormone, UCP3 mRNA peaked at 24 hours after
injection. The increase in mRNA was reflected in increased
protein levels 65 hours after injection, with a concerted
increase in resting metabolic rate assessed in vivo (30).
Administration of thyroid hormone for 10 days in control
rats resulted in an 8.1-fold increase in UCP3 mRNA, with
concerted up-regulation of UCP3 at the protein level (2.8-
fold) (31).
31
P-NMR spectroscopy revealed that the increase
in UCP3 protein was associated with increased TCA cycle
flux without an effect on unidirectional ATP synthesis rate;
this was interpreted by the authors as a 60% decrease in
mitochondrial coupling and has led them to suggest that
UCP3 is responsible for the increased energy expenditure
and thermogenesis observed after administration of thyroid
hormone (31). In humans treated with thyroid hormone,
similar changes in TCA cycle flux and unidirectional ATP
synthesis rate were observed (32). Unfortunately, no UCP3
levels were reported in that study (32). It should, however,
be noted that, although very elegant and noninvasive, results
from
31
P-NMR spectroscopy with regard to mitochondrial
uncoupling have been nonuniformly interpreted; i.e., in-
creased unidirectional ATP synthesis rate without effect on
TCA cycle flux has been interpreted as decreased uncou-
pling (25), and, at the same time, increased TCA cycle flux
without an effect on ATP synthesis rate has been taken as a
UCP3 and Obesity, Hesselink, Mensink, and Schrauwen
OBESITY RESEARCH Vol. 11 No. 12 December 2003
1433


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